MEDICARE: NG HEALTH SERVICES CHARTERED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1023697216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NG HEALTH SERVICES CHARTERED

Provider Business Mailing Address
First Line	:	6893 ISLA VISTA DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-3065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6893 ISLA VISTA DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-3065
Country	:	US
Telephone Number	:	847-987-6727
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	NORMAN GUTMANN
Credential	:
Telephone Number	:	847-987-6727

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	04/05/2021

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Directions to “NG HEALTH SERVICES CHARTERED ” Practice Location

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